Individual
LEEANNE NICOLE BAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
135 E GROVE ST, TAYLOR, PA 18517-1809
(570) 898-8894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014349
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC014349
OCCUPATIONAL THERAPY LICENSE
PA
Enumeration date
12/19/2020
Last updated
12/19/2020
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